Unit 2 Assignment MCO and ACO GSutton-Pasco
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Unit 2 Assignment: Ethical and Legal Decision-Making Dilemma
Guyla J. Sutton-Pasco
Purdue Global
MN506 Health Policy, Ethical, and Legal Perspectives of The Health Care System
Michael Palacio, NP April, 24, 2024
1
Unit 2 Assignment: Ethical and Legal Decision-Making Dilemma
In advanced nursing there are many ethical and legal decision-making dilemmas that a nurse can face especially that of a nursing administrator weighting the health care need of patients versus allocation of resources. It is important to define the dilemma to have a better understanding while considering the main principles of ethics: autonomy, beneficence, justice, and non-maleficence. It is also important to understand the federal and state laws regarding this
dilemma and the adherence to those laws pertaining to liability. Then the nurse should look at the
relevant codes of conduct and how those are reflected in the dilemma while defining the ethical principle it may affect. Once this is done, it is important to construct a decision and make recommendations that will resolve the dilemma to ensure moral distress is resolved (
Westrick, 2013)
. Ethical and Legal Decision-Making Dilemma
The ethical dilemma in this situation is regarding a nurse administrator determining the health care need for patients versus resources that can be allocated for those needs to be met. For
this example, we will utilize the need of dialysis machines in a rural hospital that typically does not see patients for this, however if a dialysis patient came in for emergency care and needed dialysis the machine it would be needed. Although it can be a life saving resource for patients with dialysis, the odds in rural areas are that most dialysis patients would not need this machine unless it was a true emergency as typically, they have programs already set up to receive dialysis on a regular basis. Legally speaking per Centers for Medicare & Medicaid (CMS) hospitals in the United States hospitals are not required to have a dialysis machine but are strongly encouraged. This presents less legal implications for an advanced practice nurse or provider who
was working in an emergency room but does not necessarily ensure patient’s best care is being 2
met. It also reduces the legal implications for the nurse administrator. With these ethical and legal dilemmas being presented, one could see how a nursing administrator must deal with if it is
a good healthcare allocation for a rural hospital to obtain a dialysis machine (CMS, 2023). Relevant Codes of Conduct
In emergency rooms and advanced practice nurse or physician, will deliver emergency care, intensive care and critical care services for patients arriving at times unknown to the unit. In
reviewing codes of conduct for nursing there are several codes of conduct that this dilemma can apply to. One of the main ethical guidelines in nursing pertaining the administrator nurse is determining if this is a cost-effective allocation of resources is to consider improvement of community health. Essentially, they should ask themselves would this dialysis machine help improve community health if there was even one dialysis patient that it was used for? Another code of conduct to consider is to have attention the medical health at the local level with goals to achieve optimal health for those individuals they serve. Also, in the nursing profession especially as a nursing administrator is importing to within their own limits attempt to provide a safe and health promoting environment for patients. With this consideration, what would be the best option for a rural dialysis patient if they couldn’t make it to a more populated hospital for treatment? Along side this the answer comes in another ethical principle or code of conduct to have nursing educators and administrators employ the maximum efforts to update their scientific knowledge and promote ethical knowledge and conduct within this a nurse administrator should make sure those resources were available and allocated to them. By applying these codes of conduct a nursing administrator in this situation could employ valuable insight on whether it was
cost effective to have a dialysis machine (
Zahedi, et al, 2013). 3
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Related Questions
Discussion Forum
x +
structure.com/courses/20120/discussion topics/272566?module_item_id=1000457
1.2 Discussion Forum
78.
Medical Law & Ethics
A
24 24
Instructions
Medical laws and ethics are crucial in this field. Laws are implemented not only to ensure proper medical services are provided and
to secure patient's rights, but also to protect the provider and the staff. Though laws can be subject to change, they still cover a vast
variety of situations set forth for everyone involved. An example of what the laws cover would be providing accurate and
appropriate medical care, professionalism, communication, and security of patient information, who owns and has access to patient
medical records, and to whom and where reports can be submitted if medical malpractice is suspected.
For this discussion assignment, you will be given two scenarios; you should base your answer on your understanding and research of
medical laws and ethics. Your initial post should be 75-100 words. Once you submit…
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Please each question
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Visit the video and write an essay in 1000 words.
Near-fatal medication error leads nurse to make patient safety a priority
please copy paste this Link: https://www.youtube.com/watch?v=MGT8yoAIu
Task: Write an essay with citation and references from 2014 which
a) Identifies, critically analyses, and prioritises the issues relating to professional nursing practice arisingf rom a video stimulus
b) Select ONE issue to demonstrate a critical analysis of PPMs and integrate into the discussion therelationship to professional regulation/governance and the effects of this issue at a global, national,regional, and/or local level.
Please use genuine references.
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Books Required Holistic Nursing, A Handbook for Practice, 6th Edition Author: Dossey Montgomery, B., Keegan, L. ISBN: 978-1-4496-45632 Publisher: Jones & Bartlett Learning, (2013)
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Module 5 Written Assignment: Patient Self-Determination: End of Life Care
Module 5 Written Assignment: Patient Self-Determination: End of Life Care
Objectives
Discuss ethical issues and nursing roles and responsibilities in issues related to patient self-determination.
Apply the ANA’s Nursing Code of Ethics Interpretative Statements to an issue of patient self-determination.
Apply advanced directives regulations and or laws in Texas to an issue of patient self-determination.
Assignment Overview
In this written assignment, you will write a 250-350 word paper (excluding title page and reference page) discussing the ethical issues and nurses role/responsibilities related to the below case study on patient self-determination.
Step 1. Review the case study below.
CASE: A nurse is caring for an elderly woman with end-stage cardiac disease who has just arrested. There are no advance directives in the chart, but the patient’s daughters have agreed with the physician’s suggestion to…
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Part I
OBJECTIVE:
To evaluate learners' skills in addressing issues related to medication safety in nursing
practice.
SYNOPSIS:
ASSIGNMENT QUESTION
Medication safety is among the fundamental components of the comprehensive safety
program that completes the quality of patients' care. It includes the concepts of prevention of
medication errors and adverse events (Kavanagh, 2017).
QUESTION:
Explain the importance of medication safety concerning the nursing practice. Discuss
the strategies, and responsibilities of nurses towards improving medication
administration safety.
[TOTAL: 40 MARKS]
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Hello mr, I need soalution in 5 min please! Thaks
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Question:
Can you make 5-8 Nursing Interventions with Rationale related to the given Nursing Diagnosis?
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GOAL: Parents will demonstrate an understanding of the special care needs of their premature and medically complex infant by the time of discharge.
Case Scenario: Patient with Small Gestational Age, Meconium Aspiration Syndrome andRespiratory Distress Syndrome.
Course in the Ward: You are taking care of patient Regina, a 35 year old patient gravida 3 withone live child and one abortion with 30 weeks pregnancy was admitted from outpatientdepartment of DDH. She was referred because of bronchial asthma and experiencing difficulty ofbreathing for 5 days and 2 days fever, she is a COVID-19 Suspect. Due to oversized baby andprevious LSCS (lower (uterine) segment Caesarean section) which was…
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◆ Nursing interventions and nursing actions
◆ Therapeutic communication
Head-to-Toe Assessment
◆ HAI's
◆ Right to care, right to refuse
◆ Advanced directives and living will
◆Forms of consent
◆ Prioritization
Nursing documentation
◆ Care of non-English speaking patient
◆ Standard and Contact precautions
◆ Pain control and management
Labs and Diagnostics:
◆ CBC
◆ BMP
◆ BNP
◆ PT/INR
◆ APTT
ABG
◆ A1C
◆ CT scan: pre and post care
◆ Biopsy: renal, liver, lung (pre and post care)
◆ Urinary tests: U/A, C/S, collection methods
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RN Case Study
The Emergent Care Clinic is a fast-paced, 20-bed, free-standing, acute care facility. The Emergent Care interdisciplinary team includes registered
nurses (RN), licensed practical nurses (LPN), unlicensed assistive personnel (UAP), physicians, advanced practice registered nurses (APRN), an
other collaborative care team members. The facility is located in an urban area and is open for business 24 hours a day, 7 days a week.
D. O Ventricular tachycardia.
2. The nurse notices interference on the ECG monitor that looks like a wandering or fuzzy baseline. When encountering a strange reading
from an ECG, which action should the nurse take first?
A. O Remind the client to be as still as possible.
B. O Check electrodes placement.
C. O Request new equipment and replace electrodes.
D. O Tap on the electrodes to initiate a reading.
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Visit the video and write an essay in 1000 words.
Near-fatal medication error leads nurse to make patient safety a priority
please copy paste this Link: https://www.youtube.com/watch?v=MGT8yoAIu
Task: Write an essay with citation and references from 2014 which
a) Identifies, critically analyses, and prioritises the issues relating to professional nursing practice arising from a video stimulus
b) Select ONE issue to demonstrate a critical analysis of Professional practice model (PPMs) and integrate into the discussion therelationship to professional regulation/governance and the effects of this issue at a global, national,regional, and/or local level. Please cite the references.
Please use genuine references.
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ntshell
YouTube
pr
PSI Online - One st...
ati.
Question: 5 of 15
Post-Assessment Assignment
Enter your answer
(1000 characters remaining)
PREVIOUS
Time Remaining: 07:33:06
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to facilitate the grieving process when caring for this client?
A nurse is caring for a client who has recently been diagnosed with a terminal illness. What communication strategies should the nurse implement
PAUSE
FLAG
CONTINUE
68°F C
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Identify & prioritise at least 2 nursing problems for the patient in the end-of-life care plan.
For the nursing problem of the highest importance establish:
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A minimum 6 actions per goal, with comprehensive rationales
A minimum 1 evaluation of the outcomes for each action
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Aslo can you make Nursing Interventions with Rationale related to the given Nursing Diagnosis?
NURSING DIAGNOSIS: Impaired parenting related to lack of experience with premature and medically complex infants as evidenced by anxiety, fear, and need for education and emotional support.
Case Scenario: Patient with Small Gestational Age, Meconium Aspiration Syndrome andRespiratory Distress Syndrome.
Course in the Ward: You are taking care of patient Regina, a 35 year old patient gravida 3 withone live child and one abortion with 30 weeks pregnancy was admitted from outpatientdepartment of DDH. She was referred because of bronchial asthma and experiencing difficulty ofbreathing for 5 days and 2 days fever, she is a COVID-19 Suspect. Due to oversized baby andprevious LSCS (lower (uterine) segment Caesarean section) which was performed three yearsback for postdatism and failure…
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RESULT OF INTERVIEW WITH SIGNIFICANT FINDINGS
A. Interaction Patterns
According to the daughter of Aling Adela named Pat-pat, her mother is always busy at work. They (children) are always in-charged for planning
activities at home. Sometimes if they are planning to go out as family, Aling Adela is not interested to join, she instead advises her children to be
careful and take extra responsible.
B. Economic Patterns
Aling Adela is the only one who supports and works for her family. Her husband died a couple of years ago from emphysema. Aling Adela works as
"laundry woman" in their neighborhood. And sometimes work as extra in the farm during harvest of rice. The client wakes up as early as 4:00AM and
work until 6:00PM. Her eldest daughter Tin-tin admitted that the income of her mother is not sufficient to support them in their everyday needs as wel
as other expenses such as payment for food and education.
C. Cognitive Patterns
Aling Adela just finished Grade 5 and has difficulty…
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Question: What would be the Subjective or Objective Data to the given case scenario, if the given Nursing diagnosis is Impaired parenting related to lack of experience with premature and medically complex infants as evidenced by anxiety, fear, and need for education and emotional support.
Case Scenario: Patient with Small Gestational Age, Meconium Aspiration Syndrome andRespiratory Distress Syndrome.
Course in the Ward: You are taking care of patient Regina, a 35 year old patient gravida 3 withone live child and one abortion with 30 weeks pregnancy was admitted from outpatientdepartment of DDH. She was referred because of bronchial asthma and experiencing difficulty ofbreathing for 5 days and 2 days fever, she is a COVID-19 Suspect. Due to oversized baby andprevious LSCS (lower (uterine) segment Caesarean section) which was performed three yearsback for postdatism and failure of induction, she had delivered 4.1 kg female baby throughcaesarean section and her postpartum period was…
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I need help.
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Examine current National Patient Safety Goals (NPSG) for hospitals, long-term care, and other facilities. Review what these goals are. Know why they are in place.
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SYNOPSIS:
ASSIGNMENT QUESTION
Therapeutic communication is an interpersonal interaction which nurses focuses on the
patient's needs, emotion, and feelings. Mersha et al. (2023) discovered some gaps in
therapeutic communication between nurses and patients from a different norcnoctive with
Line and Paragraph
supported with Hildegard Peplau's nursing theory.
REQUIREMENT:
1. Explain strategies to overcome the potential barriers nurses may face in applying the
therapeutic communication skills in the clinical practice area.
2. Discuss on how the therapeutic communication skills enhance the delivery of
patient-centred care by applying the principles of effective therapeutic
communication.
[Total: 40 Marks]
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Question 47
A nurse is assessing a newly admitted 2-year-old patient diagnosed with Influenza. The nurse documents the following: "patient is lethargic, laying quietly in mother's arms, can maintain eye contact when awake, cries when mother leaves the room." These findings reflect the nurse's assessment of which component of the pediatric assessment triangle?
Question 47 options:
Orientation
Circulation
Activity
Appearance
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- Books Required Holistic Nursing, A Handbook for Practice, 6th Edition Author: Dossey Montgomery, B., Keegan, L. ISBN: 978-1-4496-45632 Publisher: Jones & Bartlett Learning, (2013) Week 3 6/26/17 – 7/2/17 Chapters to Read Week 3 Chapter 14: pg. 294- 303 Exercise and Movement Chapter 15: pg. 308 -318 Humor, Laughter, and Play Chapter 16: pg. 329 – 337 Exhibit 16-1; 16-2; 16-3 Chapter 18: pg. 400 – 408 Effectiveness of Music Delivered by a Health Provider Chapter 19: pg.418 – 429 Touch and Hand-Mediated Therapies 1. Discussion Question: Discuss the benefits of exercise and movement both in illness and in health. Discussion cannot be more than (300) wordsarrow_forwardModule 5 Written Assignment: Patient Self-Determination: End of Life Care Module 5 Written Assignment: Patient Self-Determination: End of Life Care Objectives Discuss ethical issues and nursing roles and responsibilities in issues related to patient self-determination. Apply the ANA’s Nursing Code of Ethics Interpretative Statements to an issue of patient self-determination. Apply advanced directives regulations and or laws in Texas to an issue of patient self-determination. Assignment Overview In this written assignment, you will write a 250-350 word paper (excluding title page and reference page) discussing the ethical issues and nurses role/responsibilities related to the below case study on patient self-determination. Step 1. Review the case study below. CASE: A nurse is caring for an elderly woman with end-stage cardiac disease who has just arrested. There are no advance directives in the chart, but the patient’s daughters have agreed with the physician’s suggestion to…arrow_forwardPart I OBJECTIVE: To evaluate learners' skills in addressing issues related to medication safety in nursing practice. SYNOPSIS: ASSIGNMENT QUESTION Medication safety is among the fundamental components of the comprehensive safety program that completes the quality of patients' care. It includes the concepts of prevention of medication errors and adverse events (Kavanagh, 2017). QUESTION: Explain the importance of medication safety concerning the nursing practice. Discuss the strategies, and responsibilities of nurses towards improving medication administration safety. [TOTAL: 40 MARKS]arrow_forward
- Hello mr, I need soalution in 5 min please! Thaksarrow_forwardYou learned the core competencies of ICN Disaster Nursing Competencies and its 8 domain. Now its time for you to create a program. Please be guided with the question.1. If you are a program nurse regardless of your level (1-3) you are given a task to design a Plan of activities for entry level nurses who wishes to be a Disaster nurse. Make a Plan of activities based on the Disaster competencies and its sub competencies. The coverage of your program should focus on all type of disaster.arrow_forwardQuestion: Can you make 5-8 Nursing Interventions with Rationale related to the given Nursing Diagnosis? NURSING DIAGNOSIS: Impaired parenting related to lack of experience with premature and medically complex infants as evidenced by anxiety, fear, and need for education and emotional support. GOAL: Parents will demonstrate an understanding of the special care needs of their premature and medically complex infant by the time of discharge. Case Scenario: Patient with Small Gestational Age, Meconium Aspiration Syndrome andRespiratory Distress Syndrome. Course in the Ward: You are taking care of patient Regina, a 35 year old patient gravida 3 withone live child and one abortion with 30 weeks pregnancy was admitted from outpatientdepartment of DDH. She was referred because of bronchial asthma and experiencing difficulty ofbreathing for 5 days and 2 days fever, she is a COVID-19 Suspect. Due to oversized baby andprevious LSCS (lower (uterine) segment Caesarean section) which was…arrow_forward
- Term 3 Final Review Fundamentals: ◆ Nursing interventions and nursing actions ◆ Therapeutic communication Head-to-Toe Assessment ◆ HAI's ◆ Right to care, right to refuse ◆ Advanced directives and living will ◆Forms of consent ◆ Prioritization Nursing documentation ◆ Care of non-English speaking patient ◆ Standard and Contact precautions ◆ Pain control and management Labs and Diagnostics: ◆ CBC ◆ BMP ◆ BNP ◆ PT/INR ◆ APTT ABG ◆ A1C ◆ CT scan: pre and post care ◆ Biopsy: renal, liver, lung (pre and post care) ◆ Urinary tests: U/A, C/S, collection methodsarrow_forwardThe Emergent Care Clinic RN Case Study The Emergent Care Clinic is a fast-paced, 20-bed, free-standing, acute care facility. The Emergent Care interdisciplinary team includes registered nurses (RN), licensed practical nurses (LPN), unlicensed assistive personnel (UAP), physicians, advanced practice registered nurses (APRN), an other collaborative care team members. The facility is located in an urban area and is open for business 24 hours a day, 7 days a week. D. O Ventricular tachycardia. 2. The nurse notices interference on the ECG monitor that looks like a wandering or fuzzy baseline. When encountering a strange reading from an ECG, which action should the nurse take first? A. O Remind the client to be as still as possible. B. O Check electrodes placement. C. O Request new equipment and replace electrodes. D. O Tap on the electrodes to initiate a reading.arrow_forwardCHC33015: Certificate III in Individual Support- Community Care Common Standards- Nursing Assignment Help Questions: Question 1 1. What is the purpose of the Community Care Common Standards? 2. What are the three Community Care Common Standards? 3.List five documents that must be kept to provide evidence of compliance against the Standards. Question 2 Briefly explain the purpose of the following community care programs. For each program list the services available. Question 3 Research current directions that the government is taking in relation to community based care.What are four reforms that are planned?(You may like to access The Coalition’s Policy for Healthy Life, Better Ageing (September 2013).) Question 4 1. Briefly explain the term ‘duty of care’. 2.Has Marco demonstrated his duty of care to Kim? Explain your answer Question 5 “You are a community services worker in Adelaide. There is a new client, Alf, who requires support in his home while he recovers…arrow_forward
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Recommended textbooks for you
- Comprehensive Medical Assisting: Administrative a...NursingISBN:9781305964792Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy CorreaPublisher:Cengage Learning
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Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
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